Chantara, Alexandra Dee Maxted
Chantara, Alexandra Dee Maxted is an individual health care provider with primary practice located at 1455 Union Ave , Memphis TN 38104-6727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Chantara, Alexandra Dee Maxted can be contacted via phone (901) 726-6655.Contact Information
Primary practice address
1455 Union Ave
Memphis TN 38104-6727
Phone: (901) 726-6655
Fax: (901) 726-9056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 61380 | Tennessee |
Profile Details
| NPI number | 1679937999 |
|---|---|
| LBN Legal business name | Chantara, Alexandra Dee Maxted |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2016 |
| Last updated | Jul 24th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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